Kimberley S. Coddington, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016291 Issued in PA

Practice address

310 Chestnut St Ste 230
Meadville, PA 16335-3295

Phone

(814) 337-2037

NPI assigned

Jan 27, 2006

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avante Center for Counseling and Psychological Services, Inc.

  • Community/Behavioral Health Agency
  • Meadville, PA
  • NPI 1215322854

  VA

  Medicare reassignment NPD Authorized official
• Neuropsychological Services of Tidewater, LLC

  • Clinical Neuropsychologist
  • Virginia Beach, VA
  • NPI 1366956096
  Medicare reassignment NPD
• Oyler Internal Medicine, LLC

  • Internal Medicine Physician
  • Meadville, PA
  • NPI 1801296470
  NPD (past)
• Beach Neuropsychology Services LLC

  • Clinical Neuropsychologist
  • Virginia Beach, VA
  • NPI 1851992333
  NPD (past)
• Elizabeth McGinnis LPC LMFT LLC

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1649789983
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1467423756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHESTNUT ST STE 230",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353295",
            "telephone_number": "814-763-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHESTNUT ST STE 230",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353295",
            "telephone_number": "814-337-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDINGTON",
        "first_name": "KIMBERLEY",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Claburn, PA-C
• Donna F Clayton
• Clifton a. Barreta (Associated Foot Health Center)
• Clinical Practice of Lecom Institute for Successful Living (LECOM Institute for Successful Living at Meadville)
• Clinical Practice of Lecom Institute for Successful Living (Rural Health Clinic of Meadville)
• Amie S Coffman, D.O.
• Anthony James Colantonio, MD
• Charles Patrick Cole, M.D.
• Community Birth Group
• Community Health Services (Meadville Dental Center)

• Psychologist in Meadville, PA
• Providers in Meadville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.